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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3?2 W c sr LA <br /> PID: <br /> DESCRIPTION OF WORK: N C itis �' S <br /> ZONING REVIEW BY: ° '44 DATE APPROVED: (fig -o 2- <br /> BUILDING REVIEW BY: 4W! DATE APPROVED: j - Z g -o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes V No <br /> PLAN REVIEW Yes �r No SEWER CONNE(TTON <br /> STATE SURCHARGE Yes ,/ No WA 1'ER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes V No SITEINSPECTION <br /> Number of SAC Units / , 14 OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. S 1,-7o o Acres (.2.3 Width ?o7.7 1 t Depth 17'7 ' f <br /> Survey Submitted: Yes )C No Date of Survey: 1 -'2 - 0 Z. <br /> Proposed Setbacks: <br /> Freest (Lake): 7910 'i' Right Side: S 43 <br /> Reet-(Street): i Coy Left Side: 3 t7' A) <br /> Adjacent Structures: tN 1✓r Wetland: AJ ) <br /> Building Height: Def. Hgt. avow 301 Peak Hgt. 3$' <br /> Lot Coverage: 0 • C 910 <br /> &'G• <br /> Grading: Staff Approval Date: 1-Z$ --OZ By:cPV•-f' Council Approval Date: <br /> Septic: Staff Approval Date: ti I P. By: — <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: N(A Bluff Setback: N(A Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' 0 <br /> 75-250' Z4 i ' <br /> 250-500' N IA <br /> 500-1000' <br /> Hardcover Variance Required: Yes No 01— Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />